Non urgent appointment request

Non Urgent Appointment Request Form

Please tell us about all the symptoms you are experiencing. If the practice is already aware of this problem, please tell us what has changed. *

The practice can send a text message to your phone with your appointment time. *

I agree to the practice sending me text messages including appointment times

I do not agree to the practice sending me a text message with my appointment time

Terms & Conditions *

I confirm that my request is non-urgent, and that I understand the practice may take up to 2 working days to reply.

I confirm that this problem is not an emergency. I understand that the practice will not deal with this problem while the practice is closed.

If the problem worsens and may require immediate help, I will visit NHS 111 Online or call 111. In an emergency I will call 999.

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